| NPI | 1255399754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D WARACH Neurologist President 217-787-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036071044) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |